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LN JOAQUIN COUNTY PURLI�ALTH SERVICES • Page 2 <br /> ENVIRONMENTAL HEALTH CION <br /> 364 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0014432 <br /> LUMMEMEMOMMEM <br /> FA0007867 <br /> Facility IDLMOMMMMMOMMUM <br /> Date Printed10/4/00 <br /> LUNUMUMOMMMA <br /> RE : COMMERCIAL PROPERTY <br /> ERLINDA C HERNANDEZ 3012 E WATERLOO RD <br /> 4302 BOULDER CREEK STOCKTON CA 95205 <br /> STOCKTON CA 95219 <br /> OWNER: HERNANDEZ,ERLINDA C <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> 6/3/1998 2380 Underground Storage Tank EH Operating Permit Fee $170.00 <br /> 6/3/1998 2380 Underground Storage Tank EH Operating Permit Fee $170.00 <br /> 6/3/1998 2380 Underground Storage Tank EH Operating Permit Fee $170.00 <br /> Total for this Invoice $670.50 <br /> PAST DUE <br /> TOTAL DUE this Billing Period $5,770.50 <br /> Please make Checks PAYABLE to : PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEE <br /> at the Rate of 100%of the Base Fee Penaltieswill be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days afterthe Invoice Date and each 30 thereafter <br /> 5255.rpt 0 0 <br />